China News Service, Beijing, March 12th (Reporter Du Yan) Under the night, a new 69-year-old patient diagnosed with New Crown Pneumonia diagnosed in the West Ward of the 12th floor of the West Hospital of the Union Hospital of Tongji Medical College of Huazhong University of Science and Technology showed that his life was in danger. .

Guo Jun immediately replaced the patient with non-invasive ventilator-assisted ventilation, intravenous infusion of antibiotics and fluids, appropriate enteral nutrition preparations, and physical cooling ... Until more than two in the morning, he hurried out of the ward building after the shift and went to the station to take the bus shuttle Return to the station. He will return to the ward soon after a short break.

Preventing the deterioration of critically ill patients into critical illness

Guo Jun is the deputy chief physician of the Department of Respiratory and Critical Care Medicine, Tsinghua University Beijing Tsinghua Chang Gung Hospital. He and other 135 medical staff in Beijing-affiliated hospitals set off to support Wuhan on January 27. War-like scenes like this are commonplace to them.

Data map: Guo Jun, deputy chief physician of the Department of Respiratory and Critical Care Medicine, Tsinghua University Beijing Tsinghua Chang Gung Hospital. Photo courtesy of Tsinghua Chang Gung Hospital, Beijing

"In the first few days after I came to work in the isolation ward, there were also light and ordinary patients, but soon, many of the patients admitted were transported by 120 ambulances with fluids, masks, and oxygen, and arrived at the ward. Rescue began immediately. "Guo Jun said that the six hospitals supported by the hospital—Xiehe Hospital West Hospital and other hospitals—are designated hospitals in Wuhan to treat severe and critically ill patients.

During an interview with reporters for nearly an hour, Guo Jun's phone kept ringing. Worried about important matters, he politely suspended the interview to answer the hospital call.

"Another critically ill patient, an unconscious old man." He said that even with the "old warriors" on the medical front, the pressures and challenges still follow.

As of 24:00 on March 11, 8 newly diagnosed cases were found in Wuhan. There were 13,462 confirmed cases, including 4003 severe cases.

As of 9:00 on March 12, the Beijing Medical Team had treated 315 patients with approximately 150 beds in three wards, including 198 critically ill patients, 82 critically ill patients, and 114 discharged from hospital.

For many consecutive days, the number of newly confirmed cases nationwide and in Hubei has plummeted, and the cure rate of confirmed cases has continued to rise. Guo Jun said that the situation of epidemic prevention and control has shown a positive trend, but the medical team still adheres to high standards for various medical care measures for critically ill and critically ill patients, especially to prevent the deterioration of critically ill patients to become critically ill.

Repeat "Reviews" to make operations faster and more proficient

Guo Jun said that the patients currently being treated are not simply viral pneumonia. They are often combined with various basic diseases such as gastrointestinal bleeding, malignant tumors, severe coronary heart disease, and severe complications of diabetes, especially some patients with chronic obstructive pulmonary disease. When I arrived at the hospital, I found respiratory failure and acute exacerbation of dyspnea, which required comprehensive treatment, including oxygen therapy, respiratory support, anti-infection treatment, nutritional support, organ protection, maintaining water-electrolyte acid-base balance, etc. On the one hand, "For elderly patients, it is necessary to pay attention to dealing with various complications in a timely manner."

Guo Jun (third from left) is the deputy chief physician of the Department of Respiratory and Critical Care Medicine, Tsinghua University's Beijing Tsinghua Chang Gung Hospital. He and 135 other medical staff in the Beijing-affiliated hospital set off to support Wuhan on January 27. Photo courtesy of Tsinghua Chang Gung Hospital, Beijing

The standard ICU beds in the ward are very tight. Many critically ill patients with respiratory failure require tracheal intubation mechanical ventilation to save lives, even in the general ward. Normally, this operation should be performed in a negative pressure ward to reduce the chances of medical staff being infected.

"At present, there is a large stock of critically ill patients. Opening windows in ordinary wards for invasive mechanical ventilation for patients." Guo Jun said, coupled with tracheal intubation, deep vein puncture, bedside ultrasound, and prone ventilation, etc. Many, the medical staff's risk of close infection is increased.

Normally seemingly simple operations will be extremely difficult in epidemic situations, such as turning patients over and placing gastric tubes, etc., because doctors and nurses wear medical goggles, and the condensation of water vapor causes the vision to be blurred. The degree requirements are higher.

Guo Jun always reminded his teammates repeatedly to take good precautions, standardize operations, and not have to be overly panic when implementing the requirements of the hospital.

The "old warrior" who participated in the 2003 "SARS" campaign in Beijing led young medical staff to repeatedly practice wearing and taking off protective clothing from the beginning to now explain to medical team members the application of common antiviral drugs, rational use of antibiotics, The management of mechanical ventilation and other contents allow medical team members to repeat the "review exercise" to make the operation faster and more proficient, and to make the treatment more reasonable and accurate.

Treating the sick and the heart to maximize the patient's benefits

It's been more than a month and a half since I came to Wuhan. The team members are slightly exhausted, but they have no patience, love or confidence.

Some of the patients admitted were family members who were admitted to the hospital at the same time. Guo Jun and his team members not only heal the illness but also the heart.

A middle-aged male patient was admitted to the hospital with his mother, and his mood was very low. In particular, the death of his mother caused him a deep blow. He believed that "the disease must not be cured." As soon as the hospital had good news of the patient's discharge, the medical staff specifically told him Cheer him up. Guo Jun said that the patient was about to be discharged from hospital.

A 36-year-old female patient and mother were both critically ill. The mother died after two days of active rescue after being admitted to hospital. This was a big blow to her. The effect of non-invasive ventilator-assisted ventilation was not good. The medical team performed tracheal intubation mechanical ventilation and sent her to the ICU ward for treatment.

After more than 3 weeks of treatment, the female patient has been returned to the general ward. "We thought of many ways, and asked a psychiatrist to provide counseling and support for her after traumatic trauma, to avoid recurring conditions due to psychological factors." Guo Jun said, there is a lot of pressure to treat critically ill patients, but it is all worth it.

"Although we are a hurry in her life, but our efforts can change her life." Guo Jun said that medical work is full of risks, but this is the responsibility of the physician. "We are not a hero. We are desperately trying to treat every patient, and we just want to do our job well, so that patients can benefit the most from medical care."

Let the scientific and technological achievements come into play as soon as possible

At the same time of saving people, Guo Jun, an associate professor at the Tsinghua University School of Clinical Medicine, must also actively allow scientific and technological achievements to play a role in the "epidemic" as soon as possible.

During the frontline support in Wuhan, he used a short rest period to participate in the application for a new crown emergency project of the Beijing Science and Technology Commission, participated in the "Isolation Ward Inspection Robot Project" of the Research Institute of Tsinghua University, and "New Coronavirus CT Intelligence" The research work of the two research groups of "assisted diagnosis and prognostic model".

Recently, he is working with the team of Tsinghua Clinical Medical College to implement and apply in the frontline of Wuhan. For example, in the intelligent diagnosis system, artificial intelligence image recognition module is integrated with clinical data to assist enhanced judgment. A preliminary diagnosis can be obtained within 20 seconds. Improving the homogeneity and consistency of diagnosis between hospitals; for example, wireless vital sign monitoring system can auscultate and measure the temperature of patients, the purpose is to reduce the contact between doctors and patients and solve the inconvenience of medical staff wearing protective clothing.

The whole family supports the "Expedition to Wuhan"

Guo Jun, a "second-generation doctor", and "Expedition to Wuhan" received support from his family. "First wipe out the epidemic in Wuhan, then wipe out the viruses in Huanggang, Xiaogan, and Yichang ... so Dad can go home." Guo Jun's daughter Guo Ruitian created a topographic map of the "epidemic" to cheer for Dad Encourage.

His wife Liu Zheng also has a medical background. She said in an interview with the media that she would miss him and worry more about him, but believed that he would be able to handle the risks well, and that "he is not fighting alone" and "the doctor has his own social mission . "

"In the face of sudden disasters in the country, someone must rush forward, right?" Guo Jun said. This battle was "epidemic", and the team members will "fight in the end and be invincible." (End)